Analysis

Nursing is a multi-faceted and evolving profession defined by the American Nurses Association (ANA) as, “The protection, promotion, and optimization of suffering through the diagnosis and treatment of human responses, and advocacy in the care of individuals, families, communities and population” (ANA, 2010, p.1). Standards of nursing care set by the ANA include standards of care, code of ethics, and professional standards. The standards set forth by the ANA help to define the scope of nursing practice. For the purpose of this paper, I will further detail how these standards affect my professional nursing care. Nursing professionals are obligated and expected to practice within the scope and standards of nursing care. Within my own scope of practice, I follow the standards of care on a daily basis. I am assessing patients, planning patient care, implementing, and evaluating the outcomes of patient care. My facility has outlined standards of care. By following these policies and procedures, I can commit to safe nursing practice. Nursing professionals are also obligated and expected to adhere to the standards of professional performance. Within my own nursing practice, I am expected to provide nonjudgmental care, therefore I must disrequard my own prejudices and be an advocate for the patient no matter the patient’s race, economic status, disease process, or chosen lifestyle. The nursing professional is also responsible to engage in leadership, continue education, contribute to quality nursing practice, and to collaborate healthcare. (ANA, 2010, p. 10-11).
I am currently on the performance and improvement (PI) review team. We collect data and use that data to improve the quality and safety of patient care. The multidisciplinary team consists of pharmacists, doctors, nurses, and case management workers.
Nurse Practice Act As well as guiding nursing practice to the standards of nursing care, nursing professionals must also adhere to the state’s nurse practice act. Some of the laws set by the Ohio Board of Nursing are: executing a nursing regimen, teaching, delegation, medical administration, disciplinary action, and education for the practicing nurse (Ohio Board of Nursing, chapter 4723). The nurse is responsible to adhere to the laws of the state in which they are licensed. It is my responsibilty to maintain my requirements that are set by my state to keep my license active. It is the responsibility of my facility to keep policies and procedures up to date with the laws set forth by the Ohio Board of Nursing. I am obligated to guide my patient care according to the set policies and procedures. I feel that my facility adheres to the laws set by the Ohio Board of Nursing. Nursing policy and procedures are readily available via the system’s intranet site. Continuing education oppurtunities are available for the staff, as well as annual competencies and evaluations. Violations to the nurse practice act can result in civil or criminal prosecution (Burkhardt & Nathaniel, 2008, p. 167).
Provisions 7, 8, 9 Provision 7 encourages nurses to use their interest and knowledge and to perform a link between their personal life and the nursing profession as a whole. Provision 7 calls for the nurse to be involved in development, research, education, and safe patient care. This provision encourages the nurse to reach out to families and the community to make informed decisions on health care issues. The practicing nurse can become a member of performance improvement, shared governance, quality/safety control, or collection/utilization review committees. Provision 7 allows nurses to be their own individual; there are multiple ways for nurses to use their own talents and interests to contribute to the nursing profession (Fowler, 2010). Provision 8 emphasizes that nurses should respect the values that are associated with different cultures and be aware and sensitive to diversity. In order to follow the standards of nursing care, the nurse must provide the same quality of care despite the patient’s race, gender, political opinion, religious beliefs, physical size, age, and language. In my current practice, I have access to tools to allow me to perform the same level of care to all my patients. For example, English is the only language I speak; however, I provide nursing care to other languages through the provided interpreting services. In Provision 9, the profession of nursing and the society it serves are based off of the code of ethics, the knowledge and development through research, education, certifications, and evaluation of effective nursing practice. The code of ethics is carried out in my everyday nursing profession, through continuing to be a lifelong learner, keeping current with certifications and caring for patients according to the standard of nursing care.
Philosophical Forces Philosophical forces that guide nursing practices can include: human dignity, respecting the uniqueness of individuals and certain populations, integrity and honesty, acting in accordance with the code of ethics, and standards of practice. Values of both nurses and patients influence patient care. Values are learned and can with change with different life situations (Burkhardt & Nathaniel, 2008). As nurses, I think we have all been in the clinical setting where values vary because of different beliefs. We must respect one another and the decisions that our patients have made, based off of his/her beliefs. Working with a diverse patient population has made me aware and sensitive to the different values. Ethical decisions often arise in the nursing profession. Ethical dilemmas often arise in the intensive care unit, when families are approached with making end of life decisions, in the critically ill. In cases where families are having a difficult time making decisions or all family members are unable to make a uniform decision, my facility has an ethics team to help aide the family with the process. The ethics team is a multidisciplinary team of physicians, nurses, and case management workers. Nursing is set aside from other professions; nurses must adhere to the standards of care, the laws of the state, the nurse practice act. Nurses are obligated to be lifelong learners in order to keep up with evolving technology and healthcare. “Commitment to the nursing profession demands accountability for building, exhibiting, and maintaining clinical competency” (Eason, 2010, p. 2). I have great self satisfaction with the profession that I have chosen, and look forward to what my future holds.

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